Nurses’ Knowledge and Practice Regarding the Prevention of Cesarean Section Surgical Site Infection in Indonesia

To identify the level of nurses’ knowledgeand practices regarding the prevention of Cesarean Section (CS) Surgical Site Infection (SSI).Methods: Participants were nurses and midwives working in the labor rooms and postnatal wards. Data collection was conducted at ten government hospitals selected in West Sumatra Indonesia using self-report questionnaires. A total of 201 nurses completed the questionnaires. The levels of knowledge and the levels of practice were categorized as very low, low, moderate, high, and very high.Results: Nurses had low levels of knowledge and high levels of practice regarding the prevention of CS-SSI in Indonesia.Conclusions: Nurses' knowledge and practice in certain areas of the prevention of CS-SSI need to be improved. Education and training programs should be conducted in Indonesia to improve nurses’ knowledge and practice regarding CS-SSI prevention using evidence-based practice

PENYULUHAN DAN PEMERIKSAAN HIV PADA IBU HAMIL SEBAGAI UPAYA DETEKSI DINI PENULARAN DARI IBU KE BAYI DI BPM R KECAMATAN JAGAKARSA JAKARTA SELATAN

Program Pencegahan Penularan HIV dari Ibu ke Anak telah terbukti sebagai intervensi yang sangat efektif untuk mencegah penularan HIV  dari ibu ke anak. Pelaksanaan Program ini pada pelayanan kesehatan ibu dan anak dapat menurunkan angka kematian pada ibu HIV. Penyelenggaraan kegiatan pengabdian kepada masyarkat ini bertujuan untuk meningkatkan pengetahuan ibu hamil tentang HIV dan pemeriksaan HIV. Metode yang digunakan dalam kegiatan ini adalah dengan metode ceramah dan tanya djawab. Sasaran pesertanya adalah seluruh ibu hamil. Hasil dari kegiatan ini  adalah peseta dapat mengetahui tentang HIV dan  pencegahannya sehingga dapat meningkatkan kesehatan diri sendiri dan janinnya. Selain itu hasil pemeriksaan dengan rapid test HIV secara gratis kepada semua peserta dinyatakan negative HIV. Para peserta berharap kegiatan pengabdian masyarakat seperti dapat berlanjut secara priodik

Faktor-Faktor Yang Berhubungan Dengan Keikutsertaan Ibu Hamil Dalam Program Vaksinasi COVID-19

Ibu hamil berisiko tinggi terinfeksi COVID-19 yang akan meningkatkan risiko terjadinya kematian pada ibu dan bayi. Saat ini data mengenai keikutsertaan ibu hamil dalam program vaksinasi COVID-19 masih jauh dari sasaran, dikarenakan banyaknya faktor yang mempengarihi seperti usia, pendidikan, pengetahuan, dukungan keluarga, dan budaya masyarakat. Penelitian ini bertujuan untuk menganalisis faktor-faktor yang berhubungan dengan keikutsertaan ibu hamil dalam program vaksinasi COVID-19 di Wilayah Kabupaten Belitung Timur. Jenis penelitian yang digunakan adalah penelitian kuantitatif dengan pendekatan Cross Sectional. Besaran sampel dalam penelitian ini adalah 100 responden ibu hamil di wilayah Kabupaten Belitung Timur. Variabel yang diamati adalah variabel independent (usia, pendidikan, pengetahuan, dukungan keluarga, dan budaya masayarakat) yang akan dihubungkan dengan variabel dependen (keikutsertaan vaksinasi COVID-19) dengan uji chi-square. Hasil penelitian ini membuktikan bahwa ada hubungan yang bermakna antara usia (p-value = 0,000), pendidikan (p-value = 0,000), pengetahuan (p-value = 0,000), dukungan keluarga (p-value = 0,000), dan budaya masyarakat (p-value = 0,000) dengan keikutsertaan ibu hamil dalam program vaksinasi COVID-19 di Wilayah Kabupaten Belitung Timur

Pengaruh Pijat Perineum terhadap Laserasi Perineum pada Ibu Bersalin

Perineal laceration will cause bleeding during delivery, causing maternal death. A stiff perineum is an indication for an episiotomy. The occurrence of a very broad perineum can cause heavy bleeding in the mother during childbirth. Destination this study aims to determine the effect of perineal massage on perineal lacerations in women giving birth between the experimental group and the control group at the Sindang Jaya Public Health Center. This quasi-experimental research uses an Experiment and Control Group design. The population in this study were pregnant women in the third trimester with gestational age <34 weeks. The research instrument consisted of a checklist and a partograph as a measuring tool. Data were analyzed using normality test. Result a P Value of 0.000 (<0.05) meaning that there was a significant difference between lacerations in the experimental group and the control group.Conclusions and recommendation is perineal massage for pregnant womenable to prevent perineal laceration during labor. This perineal massage can be applied in private midwifery practices or carried out by patients themselves at home regardless of parity

Factors related to neonatal asphyxia at Adjidarmo Hospital Rangkasbitung Lebak Banten

Background: According to who the infant mortality rate in Indonesia ranks fourth highest. The highest contributor to neonatal mortality is 335 per 1,000 live births. One of the complications of Neonatal death is due to Asphyxia.Purpose: To determine the factors associated with the occurrence of asphyxia neonatorum at Dr. Adjidarmo HospitalMethod: An analytical survey research design with cash control approach. The sample in this study is 119 case respondents (asphyxia) and 119 (without asphyxia). The sampling technique is simple random sampling. The instrument is a medical record which records the secondary data. Results: Univariate analysis found that 149 respondents (62.6%) does not face Premature Rupture of Membrane (PROM), 172 infants are not low birth weight (72.3%), 174 respondents (73.1%) are not prolong labour an delivery 192 infants (80.7 %) are not premature, 134 respondents are (56.3%) not preeclampsia, 126 respondents (52.9%) are Cesarean Section women, and 185 respondents (77.7%) are not anemic. The results of the chi-square test showed that all independent variables had a relationship with the incidence of neonatal examination including premature rupture of membranes (p = 0.011), LBW (p = 0.000), prolonged birth (p = 0.009), preeclampsia (p = 0.037), type of birth (p = 0.009), premature (p = 0.001), and anemia (p = 0.019).Conclusion: There is a relationship between PROM, LBW, prematurity, prolonged birth, preeclampsia, type of delivery, and anemia with the incidence of neonatal asphyxia. It is recommended that pregnant women carry out pregnancy screening and routine ANC to detect early possible neonatal asphyxia. 

Studi Pengaruh Pemberian Tumis Daun Pepaya (Carica papaya L.) terhadap Produksi Asi dan Peningkatan Berat Badan Bayi

Breastfeeding that is not satisfactory causes stunted growth and development of the baby and one of the reasons that cause stress to breast-feeding mothers. One approach to coping with this is to eat papaya leaves containing lactagogues in breastfeeding mothers that are useful for helping to smooth out breastfeeding. This research has proven the influence of hopped papaya leaves on the production of breast milk in nursing mothers. The nature of the study was a quasi-experiment in two groups (before and after therapy). Thirty mothers who were breast-feeding and split into two intervention groups and a control group were involved in this investigation at the Permata Hati Clinic. The studies carried out are normality tests (Shapiro-Wilk), non-parametric descriptive analyzes, and frequency distribution tests for obtained data (Wilcoxon Signed-Rank Test). There was a substantial difference (p = 0.000) in treatment before and after the use of sautéed papaya leaves in the milk production of nursing mothers, so it can be inferred that giving sautéed papaya leaves may increase milk production in nursing mothers. This study is expected to form the basis for proposals so that midwives can provide nursing mothers with education about the benefits of sautéed papaya leaves and how they can be processed to improve the smooth production of breast milk.Pemberian ASI yang tidak optimal menyebabkan terhambatnya tumbuh kembang bayi dan salah satu faktor yang memicu terjadinya stres pada ibu menyusui. Salah satu solusi untuk menangani hal tersebut yaitu dengan mengonsumsi daun papaya yang mengandung laktagogum sehingga bermanfaat untuk membantu kelancaran pengeluaran ASI. Penelitian ini dilakukan untuk mengetahui pengaruh pemberian tumis daun pepaya terhadap produksi ASI pada ibu menyusui. Desain penelitian yang digunakan yaitu quasi-eksperiment dua kelompok (sebelum dan setelah perlakuan). Penelitian ini dilakukan di Klinik Permata Hati melibatkan tigapuluh ibu menyusui yang dibagi ke dalam dua kelompok intervensi dan kelompok kontrol. Pengujian yang dilakukan yaitu uji normalitas (Saphiro-wilk), analisis deskriptif nonparametric (Wilcoxon Signed-Rank Test) dan uji distribusi frekuensi terhadap data yang diperoleh. Terdapat perbedaan yang signifikan (p=0,000) terhadap perlakuan sebelum dan sesudah diberikan tumis daun papaya terhadap produksi ASI yang dihasilkan oleh ibu menyusui, sehingga dapat disimpulkan bahwa pemberian tumis daun pepaya dapat meningkatkan produksi ASI pada ibu menyusui. Penelitian ini diharapkan dapat menjadi dasar usulan agar para bidan dapat memberikan edukasi bagi ibu menyusui mengenai manfaat tumis daun pepaya dan cara pengolahannya untuk meningkatkan kelancaran produksi ASI

Effect of Sauteed Papaya Leaves (Carica papaya L.) on Breast Production and Baby Weight Increase

Breastfeeding that is not satisfactory causes stunted growth and development of the baby and one of the reasons that cause stress to breast-feeding mothers. One approach to coping with this is to eat papaya leaves containing lactagogues in breastfeeding mothers that are useful for helping to smooth out breastfeeding. This research has proven the influence of hopped papaya leaves on the production of breast milk in nursing mothers. The nature of the study was a quasi-experiment in two groups (before and after therapy). Thirty mothers who were breast-feeding and split into two intervention groups and a control group were involved in this investigation at the Permata Hati Clinic. The studies carried out are normality tests (Shapiro-Wilk), non-parametric descriptive analyzes, and frequency distribution tests for obtained data (Wilcoxon Signed-Rank Test). There was a substantial difference (p = 0.000) in treatment before and after the use of sautéed papaya leaves in the milk production of nursing mothers, so it can be inferred that giving sautéed papaya leaves may increase milk production in nursing mothers. This study is expected to form the basis for proposals so that midwives can provide nursing mothers with education about the benefits of sautéed papaya leaves and how they can be processed to improve the smooth production of breast milk.Pemberian ASI yang tidak optimal menyebabkan terhambatnya tumbuh kembang bayi dan salah satu faktor yang memicu terjadinya stres pada ibu menyusui. Salah satu solusi untuk menangani hal tersebut yaitu dengan mengonsumsi daun papaya yang mengandung laktagogum sehingga bermanfaat untuk membantu kelancaran pengeluaran ASI. Penelitian ini dilakukan untuk mengetahui pengaruh pemberian tumis daun pepaya terhadap produksi ASI pada ibu menyusui. Desain penelitian yang digunakan yaitu quasi-eksperiment dua kelompok (sebelum dan setelah perlakuan). Penelitian ini dilakukan di Klinik Permata Hati melibatkan tigapuluh ibu menyusui yang dibagi ke dalam dua kelompok intervensi dan kelompok kontrol. Pengujian yang dilakukan yaitu uji normalitas (Saphiro-wilk), analisis deskriptif nonparametric (Wilcoxon Signed-Rank Test) dan uji distribusi frekuensi terhadap data yang diperoleh. Terdapat perbedaan yang signifikan (p=0,000) terhadap perlakuan sebelum dan sesudah diberikan tumis daun papaya terhadap produksi ASI yang dihasilkan oleh ibu menyusui, sehingga dapat disimpulkan bahwa pemberian tumis daun pepaya dapat meningkatkan produksi ASI pada ibu menyusui. Penelitian ini diharapkan dapat menjadi dasar usulan agar para bidan dapat memberikan edukasi bagi ibu menyusui mengenai manfaat tumis daun pepaya dan cara pengolahannya untuk meningkatkan kelancaran produksi ASI

Studi Pengaruh Pemberian Tumis Daun Pepaya (Carica Papaya L.) terhadap Produksi Asi dan Peningkatan Berat Badan Bayi

Breastfeeding that is not satisfactory causes stunted growth and development of the baby and one of the reasons that cause stress to breast-feeding mothers. One approach to coping with this is to eat papaya leaves containing lactagogues in breastfeeding mothers that are useful for helping to smooth out breastfeeding. This research has proven the influence of hopped papaya leaves on the production of breast milk in nursing mothers. The nature of the study was a quasi-experiment in two groups (before and after therapy). Thirty mothers who were breast-feeding and split into two intervention groups and a control group were involved in this investigation at the Permata Hati Clinic. The studies carried out are normality tests (Shapiro-Wilk), non-parametric descriptive analyzes, and frequency distribution tests for obtained data (Wilcoxon Signed-Rank Test). There was a substantial difference (p = 0.000) in treatment before and after the use of sautéed papaya leaves in the milk production of nursing mothers, so it can be inferred that giving sautéed papaya leaves may increase milk production in nursing mothers. This study is expected to form the basis for proposals so that midwives can provide nursing mothers with education about the benefits of sautéed papaya leaves and how they can be processed to improve the smooth production of breast milk